Sara Clark

• Liaised between patients, insurance companies withing the billing team.
• Researched CPT and IC coding discrepancies for compliance and reimbursement accuracy.
• Reviewed overall patient aging report to address claims in the most efficient way.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Filed and updated patient information and medical records.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Identified and resolved patient billing and payment issues.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• EPIC

• Conducted needs assessments to identify gaps in performance and develop targeted learning solutions.
• Developed job-specific competencies and performance standards.
• Utilized variety of instructional design methodologies to create effective learning experiences.
• Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
• Verified insurance of patients to determine eligibility.
• Posted payments and collections on regular basis.
• Delivered timely and accurate charge submissions.
• Kept vendor files accurate and up-to-date to expedite payment processing.
• Merging offices from eClinicalWorks to EPIC

• Collected payments and applied to patient accounts.
• Liaised between patients, insurance companies, and billing office.
• Delivered timely and accurate charge submissions.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Compiled and tracked outstanding balances owed to medical facilities.
• Developed effective improvement plans in alignment with goals and specifications.
• Frequently inspected production area to verify proper equipment operation.
• Training peers on Athena when the implementation was rolling out to assist with a smooth transition.
• Direct communication with the Athena Implementation Specialist to ensure the roll out was smooth.
• Educated staff on organizational mission and goals to help employees achieve success.
• Devised and implemented processes and procedures to streamline operations.
• Transferring each individual office to every office using Athena so there were less gaps and eventually there was a smooth flow of billing.

First year and a half, I was the Office Administrator assistance then moved into Office Management -

• Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
• Organized meetings for executives and coordinated availability of conference rooms for participants.
• Oversaw appointment scheduling and itinerary coordination for both patients and providers.
• Delegated tasks to administrative support staff to organize and improve office efficiency.
• Built highly-efficient administrative team through ongoing coaching and professional development opportunities.

In April 2018 I moved into billing when the practice was moving to a new EHR system.

• Assisted account executives from the office with strengthening teams relationships through targeted solutions and clear communication.
• Delivered exceptionally high level of professionalism and support to each client, upholding company's commitment to service.
• Tested new software and hardware prior to deployment.
• Researched and identified solutions to technical problems.
• Point of contact for assistance in implementing and developing training programs.
• Monitored system performance to identify potential issues - ensuring the medical billing would be more streamlined along with individualized training for each position.
• Diagnosed and troubleshot hardware, software and network issues.
• Transitioning from TherapyNotes with a separate billing system to a system that was supposed to be "all inclusive" then transitioned to Athena.

• Recommended type and amount of coverage based on analysis of companies circumstances using persuasive sales techniques.
• Calculated quotes and educated potential clients on insurance options.
• Evaluated accuracy and quality of data entered into agency management system.
• Policy build outs for client presentations and additional descriptive detail to ensure that HR could provider employees accurate information.
• Additionally being a point of contact for employees who had more specific questions and seeing if there were possible adjustments that could be made.
• Adhered to health and prescription insurance products, delivery systems, and claims systems.
• Maintained high standards of customer service by building relationships with clients.
• Identified potential risks in client businesses and recommended appropriate insurance coverage.
• Negotiated with insurance underwriters to obtain better coverage and improved rates for clients.
• Utilized CRM software to manage client relationships.
• Prepared and reviewed insurance applications to verify compliance with regulations.